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Successful Treatment of Traumatic Aortic Injury with Endovascular Stenting

並列摘要


Traumatic aortic injury is a potentially life-threatening disease that may carry a high mortality risk in the absence of immediate management. With the advances in interventional techniques, endovascular stenting has become a reasonable treatment for traumatic aortic injury. We present a 55-year-old woman with multiple trauma, including blunt chest injury and aortic injury, due to a fall from a height. Endovascular stenting was successfully performed for the aortic lesion.

參考文獻


Dyer DS, Moore EE, Ilke DN, McIntyre RC, Bernstein SM, Durham JD, Mestek MF, Heinig MJ, Russ PD, Symonds DL, Honigman B, Kumpe DA, Roe EJ, Eule J Jr. Thoracic aortic injury: how predictive is mechanism and is chest computed tomography a reliable screening tool? A prospective study of 1,561 patients. J Trauma 2000;48:673-682; discussion 82- 83.
Mirvis SE, Shanmuganathan K, Buell J, Rodriguez A. Use of spiral computed tomography for the assessment of blunt trauma patients with potential aortic injury. J Trauma 1998;45:922-930.
Steenburg SD, Ravenel JG. Acute traumatic thoracic aortic injuries: experience with 64-MDCT. AJR Am J Roentgenol 2008;191:1564-1569. doi: 10.2214/ AJR.07.3349.
Ungar TC, Wolf SJ, Haukoos JS, Dyer DS, Moore EE. Derivation of a clinical decision rule to exclude thoracic aortic imaging in patients with blunt chest trauma after motor vehicle collisions. J Trauma 2006;61:1150-1155.
Smith RS, Chang FC. Traumatic rupture of the aorta: still a lethal injury. Am J Surg 1986;152:660-663.

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